Deka, Vikram

Deka, Vikram is an individual health care provider with primary practice located at 10214 N Tatum Blvd Ste A600 , Phoenix AZ 85028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Deka, Vikram can be contacted via phone (602) 406-1530.

Contact Information

Primary practice address
10214 N Tatum Blvd Ste A600 Phoenix AZ 85028
Phone: (602) 406-1530
Fax: (602) 406-1539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 43373 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 43373 Arizona

Profile Details

NPI number 1306040498
LBN Legal business name Deka, Vikram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Jul 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306040498 NPPES
Arizona MEDICAID 533078

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